HomeMy WebLinkAboutPermit M03-112 - VAN IEPEREN FREDVAN IEPEREN
13927 56T" AV S
M03 -112
Parcel No.: 0002800029
Address: 13927 56 AV S TUKW
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Permit Center Authorized Signature:
doc: Mech
VAN IEPEREN FRED
13927 56TH AVE S, TUKWILA WA
VAN IEPEREN FRED
13927 56TH AVE S, TUKWILA WA
MICHELE FOX
ROSSOE ENERGY SYSTEMS, 9367 RAINIER AV S
Contractor:
Name: ROSSOE ENERGY SYSTEMS INC
Address: PO BOX 18259, SEATTLE WA 98118
Contractor License No: ROSSOES101LL
DESCRIPTION OF WORK:
OVER THE COUNTER - OIL TO OIL FURNACE CHANGE OUT
Value of Construction: $3,539.00
Type of Fire Protection: N/A
Print Name: 4.P__1/43 I v■ L lc v S
MECHANICAL PERMIT
Fees Collected: $52.00
Uniform Mechnical Code Edition: 1997
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 725 -7555
Phone: 206 - 725 -7555
Expiration Date:05 /14/2004
M03 -112
07/11/2003
01/07/2004
Date: 7 -'7 /--d 3
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and
ordinances governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating constru ion or the performance of work. I am authorized to sign and obtain this mechanical permit.
Signature: - ✓� Date: - (i) ID
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is
suspended or abandoned for a period of 180 days from the last inspection.
M03 -112
Printed: 07 -11 -2003
I
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0002800029
Address: 13927 56 AV S TUKW
Suite No:
Tenant: VAN IEPEREN FRED
PERMIT CONDITIONS
7: Fuel burning appliances may not be installed in sleeping rooms, U.M.C. 304.5.
9: Water heater shall be anchored to resist earthquake (U.P.C. 510.5).
Permit Number: M03 -112
Status: ISSUED
Applied Date: 07/11/2003
Issue Date: 07/11/2003
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any
construction. These documents are to be maintained and available until final inspection approval is granted.
4: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997
Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition).
5: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be
construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any
other ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this
code shall be valid.
6: Contact the Public Works Division to obtain inspections of the water and sewer connections or disconnections prior to
cover (433- 0179).
8: Appliances which generate flame, spark or glowing ignition, shall be elevated 18 inches above the floor (U.M.C.
303.1.3.).
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws
regulating construction or the performance of work.
Signature:_
Print Name:
doc: Conditions
1 4-1-
M03 -112
Date: ^7 (■ ( n
Printed: 07 -11 -2003
Project Name/Tenant:
Description of work to be done (plepse be specific):
of I +b b( il..rn chr,.an.obv_csLt+.
Value of Mechanical Equipment: , �i
Site Address : . Cit State/Zip:
1 bn
- t 2.7 5bi t h •A■rt ^ . . I 4 C %1LnS
Tax Parcel Number:
000 2550 6029
Properly Owner:
F G Yl 1 �ea ex�
Phone: ( )
2.01) •• 2J-44 - 2 )0LP
Street Address:
City State/Zip:
Fax 0: ( )
Contractor: n
-C (De, Ener
StS
A C
J
�
cu. 9 State/Zip: P i p:
g
Phone: ( )
7�(� 725-`l
Fax N: l )
Street Addres -
�� �� 2o�,�.Q�
Contact Person: m _ (� p_ _ I�
Phone: ( - - U -1 Z -1SS '
C
Street Address:
C
City State/Zip:
Fax q: ( I
• ,.,., ' tECHANICAL PERMIT RENiEW ANO APFROVAL � JES i (TO EFIiIED OUT.BYAP 1CAN
. A IREQ TR:fT p P Lr)
Description of work to be done (plepse be specific):
of I +b b( il..rn chr,.an.obv_csLt+.
BUI INC tVNER OR AUTHORIZED AGENT:
I .r',..
Signs yn ,
Date: 1 _ 2 _0
) ��
Fax q: 4, .. -12.5_
u1k lJ G$l l
3
Print name: }n/t s c. 1_ _ ice `
r R YC ��� t � c
Phone: (ZUIi_1ZC -�
`Y
Address: C'1 5 Q 1
C
City/State/Zip:
Q
e.
Mechanical Permit Application
Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the lime of
application, a copy of this license will be required before the permit is issued OR submit Form 11-0, "Affidavit in Lieu of Contractor
Registration ".
Building Owner /Authorized Agent: If the applicant Is other than the owner, registered architect/engineer, or contractor licensed by the
State of Washington, a notarized letter front the property owner authorizing the agent to submit this permit application and obtain the
permit will be required as part of this submittal.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PER JURY BY THE LAWS OF TilE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall expire by
limitation. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon written
request by the applicant as defined in Section 114.4 of the Uniform Mechanical Code (current edition). No application shall be
extended more than once.
Date application accepted:
Date application expires:
Application taken by: (initials)
I tarov
wealpcnuiGdoc
CITY C TUKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or facsimile.
Payee:
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188/ (206) 431 -3670
RECEIPT ,. Z
�
Parcel No.: 0002800029 Permit Number: M03 -112 Q
Address: 13927 56 AV S TUKW Status: PENDING N 0
Suite No: Applied Date: 07/11/2003 w =
Applicant: VAN IEPEREN FRED Issue Date: N LL
WO
2
Receipt No.: R03 -00825 Payment Amount: 52.00 E
N 3
Initials: SKS Payment Date: 07/11/2003 09:49 AM H w
User ID: 1165 Balance: $0.00 ? H
I— O
Z I—
w
w
D o
O
0 I--
w
TRANSACTION LIST: H v
Type Method Description Amount !L 5
-O
Payment Check 067077 52.00 U N z co
~ I I- - -
0
Z
ROSSOE
MECHANICAL - RES
Account Code Current Pmts
000/322.100 52.00
Total: 52.00
0373 07/11 ::.'716 TOTAL 52.00
Printed: 07 -11 -2003
Project:
/M() /t
Typee,�ppf Inspection:
If //US14 I
Address -
/arc 7t
�r/S
Date Called:
f - /f -D3
Special Instructions:
Date Wan d:
a.m.
Requester :
C6
P ne No:
a V/'
.306
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMI
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20•)4 1 -3670
144Approved per applicable codes. El Corrections required prior to approval.
COMMENTS: •�--
7
0 —co Pc, cur 1.-r-Tio/07
Dat / 7
I J
4'.00 REINSPECTION FEE EQUIRED. PriO to inspection, fee must be
p4 d at 6300 Southcenter Bi d., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
Project Name:
r Raub �- . P eL G6 Y V! N 1 1P --Ret N
Address:
V 27 Sfo IkU S
Residential Building Permit Number:
1. Prescriptive Option W.S.E.C. Chapter 6, (check building permit option used):
❑ 1. ❑ II ❑ III. ❑ iv.. ❑ v. ❑ vi. ❑ vii.
❑ vlll.
2. House Square Footage (HSqFt)
\ I \V)
3. Heating System installed, (check system type below):
❑ a. Electric Resistance /21 BTU /h per sq. ft.
❑ b. Electric (forced air) /24 BTU /h per sq. ft.
c. Other Fuels (gas, heat pump) /27 BTU /h per sq. ft.
4. Equipment: 11
a. Make 0 ‘ �-0
_�
b. Model NI L $D MO •
c. Size in BTU's l.U 000
5. Calculation /(HSqFt) ‘ \AO (see line 2 above)
\
BTU /h X 1 4.1 (see line 3 a, b, or c above)
R ci- BTU Equipment Maximum Size
,
CITY ( TUKWILA
Permit Center
6300 SouthcenterBoulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
Prescriptive Heating System Sizing for
Single Family Homes - New Construction
Washington State Energy Code Chapter 9, Climate Zone 1
PERMIT APPLICATION #:
7/9/96
H -6
Applicant's Signature:
Date:
.